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NPI Code Detail

MEDICARE: BISMARCK PUBLIC SCHOOLS CARE COORDINATION

MEDICARE: BISMARCK PUBLIC SCHOOLS CARE COORDINATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1013789346
Entity Type Code : Organization
Provider Name (Legal Business Name) : BISMARCK PUBLIC SCHOOLS CARE COORDINATION
Provider Business Mailing Address
First Line : 128 SOO LINE DR
Second Line :
City : BISMARCK
State : ND
Zip : 58501-3339
Country : US
Telephone Number : 701-323-4000
Fax Number :
Provider Business Practice Location Address
First Line : 128 SOO LINE DR
Second Line :
City : BISMARCK
State : ND
Zip : 58501-3339
Country : US
Telephone Number : 701-323-4000
Fax Number :
Authorized Official
Title or Position : SUPERINTENDENT
Name : DR. JEFF FASTNACHT
Credential :
Telephone Number : 701-323-4000
Provider Enumeration Date : 10/30/2023
Last Update Date : 10/30/2023

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Directions to “BISMARCK PUBLIC SCHOOLS CARE COORDINATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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